Target intelligence / Profile preview

HLA class I histocompatibility antigen A alpha chain (HLA-A*02:01) (HLA-A2)

Target
HLA-A2
Molecular classification
Major Histocompatibility Complex (MHC) Class I, Receptor, Antigen-presenting molecule
01

Overview

The HLA class I histocompatibility antigen A alpha chain, specifically the HLA-A*02:01 allele, is a crucial component of the human major histocompatibility complex (MHC) class I system. Its primary biological function is to bind and present intracellularly derived peptides (typically 8–10 amino acids) on the cell surface for surveillance by CD8+ cytotoxic T lymphocytes (CTLs). This mechanism allows the immune system to identify and destroy cells that are expressing foreign viral proteins or mutated tumor antigens. In modern oncology, HLA-A*02:01 is a cornerstone of precision immunotherapy because it is the most common HLA allele in many populations, particularly Caucasians. Therapeutic strategies such as TCR-engineered T-cell (TCR-T) therapies and bispecific T-cell engagers (ImmTACs) are designed to target specific tumor-associated antigens (e.g., gp100, MAGE-A4, NY-ESO-1) restricted to this specific HLA molecule. For instance, the drug Tebentafusp targets the gp100 peptide specifically when presented by HLA-A*02:01. Because these therapies only work in patients carrying this allele, HLA-A*02:01 status is an essential biomarker for patient eligibility in clinical trials and approved treatments.

Other names
MHC class I antigen A*2Human leukocyte antigen A2HLA-A*02:01Major histocompatibility complex class I AHLA-A heavy chain
02

Mechanism of action

Peptide-MHC (pMHC) complex formation for recognition by T-cell receptors (TCRs); Target for TCR-bispecific engagers and TCR-engineered T-cell therapies (TCR-T).

03

Biological functions

Antigen presentationImmune responseCD8-positive T cell activationSelf/non-self recognitionProtein binding
04

Disease associations

CancerInfectionAutoimmune diseaseViral infection (e.g., HIV-1, Influenza)Uveal melanomaSynovial sarcoma
05

Safety considerations

Cytokine release syndrome (CRS)Off-target toxicity due to peptide mimicryGraft-versus-host disease (GVHD)Immune evasion via HLA downregulation in tumors
06

Interacting drugs

Tebentafusp

5 more in the full profile.

07

Biomarkers

HLA-A*02:01 genotype (patient selection)Soluble HLA-A2 levelsPeptide-specific CD8+ T-cell frequency

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